KIEL WALTERS LICSW PC
NPI 1396309696
Social Worker - Clinical in Edina, MN

Active since April 23, 2019
5200 WILLSON RD STE 210, EDINA, MN 55424(612) 787-2475 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 8, 2020, Apr 23, 2019 (2 updates tracked since 2019).

About Kiel Walters Licsw Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIEL WALTERS LICSW PC (NPI 1396309696) is a healthcare organization registered as a clinical in Edina, Minnesota and active in the NPI registry since April 2019. The organization maintains a secondary practice location in Saint Paul and lists Kiel Walters, Owner, as its authorized official.

NPPES Registry Identity

NPI1396309696
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKIEL WALTERS LICSW PC
Location Address5200 WILLSON RD STE 210Edina, MN 55424-1343
Mailing Address5200 Willson Rd Ste 210Edina, MN 55424-1343 · (612) 787-2475
Organization SubpartNo
Authorized OfficialKiel WaltersOwner · (612) 787-2475
Enumeration DateApril 23, 2019
Last NPPES UpdateJanuary 8, 20202 updates tracked since enumeration
NPI 1396309696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5200 WILLSON RD STE 210, Edina, MN 55424

Secondary Practice Location 1

Location 1821 Raymond Ave Ste 240Saint Paul, MN 55114-1525 · Phone (612) 787-2475

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
5200 WILLSON RD STE 210
EDINA, MN 55424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kiel Walters Licsw PC's NPI number?

The NPI number for Kiel Walters Licsw PC is 1396309696. It was assigned to this organization in the NPPES registry on April 23, 2019.

Where is Kiel Walters Licsw PC located?

Kiel Walters Licsw PC is located at 5200 Willson Rd Ste 210, Edina, MN 55424. The listed phone number is (612) 787-2475.

What is Kiel Walters Licsw PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Kiel Walters Licsw PC accept?

Health plans from HealthPartners list Kiel Walters Licsw PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kiel Walters Licsw PC was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.